Approval

Brad Special
Snowflake

on 2/6/10 12:38 pm
VSG on 12/06/12
I live in central ny and have MVP. I was just wondering what luck people in NY had getting the sleeve approved by their insurance company? Any help is greatly appreciated.
(deactivated member)
on 2/9/10 4:51 am
I can't help you with MVP-but I wanted to wish you the best of luck!
Brad Special
Snowflake

on 2/9/10 9:07 am
VSG on 12/06/12
Thank you I go to a information session at Community General monday and it looks like it may work out.
(deactivated member)
on 2/9/10 11:04 am
That's great! Glad to hear that!
MikeyMike
on 2/26/10 11:07 am - New York, NY
I have Cigna...They denied me for the Sleeve...They said it's experimental.

I was approved for the RNY


   Highest Weight: 380                      Consult Weight: 357             Surgery Weight: 309 
Goal Weight: 220 (9/29/10)      Revised Goal Range 215-220         Current Weight: 224
Plastics: Circumferential Lower Body Lift - 11/18/2011
              Gynecomastia - 6/14/2012

Brad Special
Snowflake

on 2/26/10 11:12 am
VSG on 12/06/12
I had my consult today and they are about to become an mvp center of excellence. They told me this will give them a beeter approval rate for the sleeve. they are pretty confident I can get approved. I am going to the program at Community General.
MikeyMike
on 2/26/10 11:45 am, edited 2/26/10 11:46 am - New York, NY
The hospital (South Nassau Community in Long Island) that i'm having my surgery is a center of excellence. The problem was the Sleeve is not a procedure that Cigna will approve. Cigna said that there isn't enough long term evidence to judge the effectiveness of the sleeve. I tried very hard for the sleeve, my doctor applealed on my behalf and did a peer consult review with Cignas doctors. Cigna then asked for an additional letter from my primary Care Physician stating that he recommended the sleeve. Even after providing that Cigna still denied.

My doctors office said more and more insurance companies are starting to approve. Medicare starting approving 1/1/2010. Unfortunately Cigna is not one of them.

BTW...Not sure what MVP is???


   Highest Weight: 380                      Consult Weight: 357             Surgery Weight: 309 
Goal Weight: 220 (9/29/10)      Revised Goal Range 215-220         Current Weight: 224
Plastics: Circumferential Lower Body Lift - 11/18/2011
              Gynecomastia - 6/14/2012

Henry G.
on 2/27/10 1:33 am
good luck with your surgery
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